can diltiazem cause burning mouth syndrome

A bitter or metallic taste often happens along with the burning feeling. Is your mouth pain getting better or worse? The most commonly reported side effects include edema, headache, and dizziness.[Ref]. There's no known cure for primary burning mouth syndrome, so treatment is aimed at controlling the symptoms. The following medications may be prescribed to you by your physician. If needed, your dentist may refer you to a specialist. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. An approach to managing painful chronic conditions called cognitive behavioral therapy can be useful for people with burning mouth syndrome. O 0. The central type does not respond to local treatments and associates often with psychiatric comorbidity (depression or anxiety), whereas the peripheral type responds to peripheral lidocaine blocks and topical clonazepam. If oral problems (like teeth grinding or jaw clenching) cause BMS, your dentist can help correct the issue. What should I know about storage and disposal of this medication? These include foods that Chmieliauskaite M, Stelson EA, Epstein JB, Klasser GD, Farag A, Carey B, Albuquerque R, Mejia L, Ariyawardana A, Nasri-Heir C, Sardella A, Carlson C, Miller CS. Studies show that many of those people also clench their teeth. If a medication is suspected to be the cause of your symptoms, your health care Burning mouth syndrome (BMS) is a burning sensation on your tongue, roof of your mouth or lips. Copyright 2002 by the American Academy of Family Physicians. The specific cause of BMS is uncertain, she said, but some evidence shows that it may be related to nerve dysfunction. Gum pain can be associated with symptoms like bleeding gums, pain with chewing, or swelling of the gums. BMS often starts seemingly out of nowhere. National Institute of Dental and Craniofacial Research. But you can lessen the symptoms by avoiding anything that irritates your mouth, including: Also, make sure your diet contains enough vitamin B12, folate and iron. Check with your doctor immediately if any of the following side effects occur while taking diltiazem: More common Body aches or pain congestion cough dryness or This is thought to be caused by dysfunction In addition to taking medication, making lifestyle changes will also help to control your blood pressure. Most often, the pain is on the tip of your tongue or roof of your mouth. Burning mouth syndrome has been defined as burning pain in the tongue or oral mucous membranes, usually without accompanying clinical and laboratory findings.1,2 In the past few years, some investigators have disputed this definition, arguing that it is too restrictive and suggesting that the syndrome may exist coincidentally with other oral conditions.3. Why the BMS goes away for a period of time and then comes back, I have no idea. Joan spends most days in excruciating pain yet her condition burning mouth syndrome, or burning mouth disorder is not visible and is little understood. It may take many doctor visits to diagnose the condition. This is because reduced estrogen levels cause decreased taste bud sensitivity. With the recently increased understanding of the role that taste damage plays in the pathogenesis of burning mouth syndrome, many of these etiologies can now be viewed as part of a larger model of disease. The https:// ensures that you are connecting to the Eur J Pain 2005;9:46384. ", Journal of the American Dental Association: "Burning Mouth Syndrome.". as primary burning mouth syndrome. Pain can also occur from irritants like smoking, dental trauma, or eating certain foods. Cerner Multum, Inc. "UK Summary of Product Characteristics." Your doctor may give you a different medication to take when you have chest pain. Diltiazem controls high blood pressure and chest pain (angina) but does not cure them. It may take up to 2 weeks before you feel the full benefit of diltiazem. Continue to take diltiazem even if you feel well. 2023 Mar 14:1-10. doi: 10.1007/s40122-023-00492-3. Most patients with the disorder report an increase in pain intensity from morning to night, decreased pain with eating, oral dryness that waxes and wanes with the burning, and the frequent presence of taste disturbances.8 Even when a patient reports typical features of burning mouth syndrome, other potential causes should be ruled out (Table 1). Avicenna Journal of Dental Research: Burning Mouth Syndrome and Its Related Risk Factors in Females. When they thought they were out of options, Nancy O'Brien brought her adult daughter, Jessica, to Mayo Clinic to look into palliative or comfort care MANKATO, Minn. Everyone has heard the saying "No pain, no gain," and, if you're training for a long-distance race, chances are that you've felt DEAR MAYO CLINIC:I often struggle to fall asleep at night, and then I have difficulty staying asleep. But because other conditions have similar symptoms, diagnosing BMS can be difficult, said Milda Chmieliauskaite, a researcher and assistant professor of oral and maxillofacial medicine at the dental school. Burning Mouth Syndrome. Try our AI assistant here. If taken regularly, diltiazem may control chest pain, but it does not stop chest pain once it starts. Borsook D, Upadhyay J, Chudler EH, Becerra L. A key role of the basal ganglia in pain and analgesiainsights gained through human functional imaging. You may also experience dry mouth, taste changes, insomnia, headaches, and mood changes. Myocardial infarction was not readily distinguishable from the natural history of the disease. The main symptoms of burning mouth syndrome include the following. 8600 Rockville Pike The pain may make you feel depressed, stressed, or anxious, making it hard to do everyday activities and sleep. Disclaimer. Many medications Webdry mouth itching hair loss drowsiness memory loss hallucinations fainting muscle tremors taste impairment abnormal manner of walking small reddish-purplish pin-point sized spots If you have symptoms, see your dentist first. Unable to load your collection due to an error, Unable to load your delegates due to an error. Have you asked your doctor about Sjogren's? However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. This content is owned by the AAFP. WebBurning mouth syndrome and drugs with ingredients of melatonin (1 reports) Alternative drugs to, pros and cons of Melatonin: Melatonin (43,043 reports) Common Melatonin side effects: Fatigue (feeling of tiredness): 3,807 reports Headache (pain in head): 2,371 reports Drug ineffective: 2,366 reports Diarrhea: 2,362 reports of the nerves that control pain and taste. 2018;21(1):9-19. doi: 10.3290/j.cjdr.a39914. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. Your doctor will probably start you on a low dose of diltiazem and gradually increase your dose, not more than once every 7 to 14 days if you are taking the extended-release tablet or capsule and not more than once every 1 to 2 days if you are taking the regular tablet. The American Academy of Oral Medicine. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. All rights reserved. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911. come and go, increase gradually as the day wears on, or be constant. Do not take a double dose to make up for a missed one. WebBurning mouth syndrome is most prevalent in postmenopausal women, having led to a hypothesis that BMS is triggered as a consequence of nervous system damage caused Burning mouth syndrome is defined as a burning pain of the mouth and tongue with no identifiable cause. About 2% of the population is affected by You also may want to try over-the-counter products intended After a couple months I settled at 30 mg and my symptoms virtually disappeared for Burning mouth syndrome (BMS) is a painful, frustrating condition often described as a scalding sensation in the tongue, lips, palate, or throughout the mouth. Flecainide oral tablet doesnt cause drowsiness, but it can cause other side effects. Anura Ariyawardana, Milda Chmieliauskaite, Arwa M. Farag, Rui Albuquerque, Heli Forssell, Cibele NasriHeir, Gary D. Klasser, Andrea Sardella, Michele D. Mignogna, Mark Ingram, Charles R. Carlson, Craig S. Miller. Although the precise area(s) causes of dysfunction in the nervous system are unknown, possible causes include: Burning mouth syndrome is considered a diagnosis of exclusion because it is diagnosed only when other causes of mouth pain have been ruled out. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Spontaneous partial recovery within six to seven years after onset has been reported in up to two thirds of patients, with recovery often preceded by a change from constant to episodic burning.5,10 No clinical factors predicting recovery have been noted. Information is also available online at https://www.poisonhelp.org/help. Other neuropathic pain syndromes include painful diabetic neuropathy, post-herpetic neuralgia, trigeminal neuralgia, and complex regional pain syndrome. Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. So if a patient is misdiagnosed with burning mouth syndrome, but actually suffers from burning due to dry mouth, the patient will receive treatment for the wrong condition and the symptoms of burning will not improve. worse. Mayo Clinic Q and A: Can a supplement help you sleep? B-12 deficiency, damage to nerves, hormonal changes, a very dry mouth, which can be caused by medicines and disorders such as Sjgrens syndrome or diabetes, any number of nutritional deficiencies, oral fungus or some kind, acid reflux. It is a complex, poorly understood condition that is "We also know between three and nine per cent of post-menopausal women have BMD, as decreased oestrogen levels can cause chronic pain. It feels different for each person. Concomitant use of diltiazem with beta-blockers or digitalis may result in additive effects on cardiac conduction. Reasons why your gums may hurt include inflammation of the gums, also known as gingivitis. ScienceDaily. Copyright, 2023. Sometimes, burning mouth syndrome results from another health event or condition. Understand your tongue pain symptoms, including 7 causes & common questions. occur anywhere in the mouth. Continue to take diltiazem even if you feel well. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats. Note: Content may be edited for style and length. WebMD does not provide medical advice, diagnosis or treatment. So treating BMS should be approached with caution, said Chmieliauskaite, who co-authored research recently published by Oral Diseases as part of the World Workshop on Oral Medicine VII. It works by relaxing the blood vessels so the heart does not have to pump as hard. In this mild condition, red patches appear on the tongues surface. It also increases the ANSWER: Before you try any treatments, I recommend you first get a thorough evaluation from a health care provider who is familiar with burning mouth syndrome. No. underlying cause should eliminate or at least greatly reduce symptoms. In general, burning mouth syndrome symptoms can include: The pain may get worse throughout the day. Materials provided by Case Western Reserve University. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Symptoms mainly include mouth pain that is burning or tingling, such as on the roof of the mouth, the gums, inside of the cheeks, or lips. The acids from your stomach can come up into your mouth and cause burning. Stay socially active or join a pain support group. in the mouth, as well as medications taken in pill form. Your doctor may give you a different medication to take when you have chest pain. Diltiazem is in a class of medications called calcium-channel blockers. Burning mouth syndrome: a review and update. Revised March 2018. The doctor will examine your mouth and check for infection. Referral to a subspecialist with expertise in this area may be beneficial in particularly difficult cases. Most studies have found that oral burning is frequently accompanied by other symptoms, including dry mouth and altered taste.5 Alterations in taste occur in as many as two thirds of patients and often include complaints of persistent tastes (bitter, metallic, or both) or changes in the intensity of taste perception. provider also may recommend a prescription medication that may help with All rights reserved. This medication is also available in an injectable form to be given directly into a vein (IV) by a healthcare professional. Know the Reasons & Fall Asleep Faster. You might be more likely to get it if youre: Your doctor will want to know about your symptoms and when they began. Learn How Genetics Make Some Fans of Fear, Dr. Whyte's Book: Take Control of Your Cancer Risk, How Breast Cancer Changed My Life and Me, Health News and Information, Delivered to Your Inbox. He currently practices as a hospitalist at Newton Wellesley Hospital. You should go to your primary care doctor in the next few weeks. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Theres a relationship between burning mouth and taste (gustatory) changes. AHFS Patient Medication Information. Treatment focuses on symptom management and includes at-home methods, medications, and preventative measures. Based on the makeup of most studies published to date, oral burning appears to be most prevalent in postmenopausal women.5 It has been reported in 10 to 40 percent of women presenting for treatment of menopausal symptoms.6 These percentages are in contrast to the much lower prevalence rates for oral burning in epidemiologic studies (0.7 to 2.6 percent).7 The reason for the gender difference between study populations (approximately 85 percent of study subjects have been women) and epidemiologic studies (which demonstrate a more equal distribution of oral burning in men and women) may be related to the definition used in each study design. I have been fighting for 3 years even spent 3 days at Mayo (Jax) where all their tests indicate normal. If you have secondary burning mouth syndrome, treating the This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled. Diltiazem is a calcium channel blocker. They can make burning mouth syndrome Kamala KA, Sankethguddad S, Sujith SG, Tantradi P. Burning Mouth Syndrome. The content available on buoy.com is not a substitute for professional medical advice, diagnosis, or treatment. "Product Information. By the Saturday my mouth was tender and burning - my tongue, gums, inside of lips and cheeks. www.sciencedaily.com/releases/2019/07/190703121347.htm (accessed April 18, 2023). 2022 Jan;17(1):399-406. doi: 10.1016/j.jds.2021.08.010. Rinse mouth with 1 teaspoon of a 1:2 dilution (or higher) of hot pepper and water; increase strength of capsaicin as tolerated to a maximum of 1:1 dilution. This article provides updated information on burning mouth syndrome and presents a new model, based on taste dysfunction, for its pathogenesis. This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. Patients with sick sinus syndrome are at increased risk of bradycardia. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. The reported success of biobehavioral techniques in the treatment of burning mouth syndrome may be related more to an improvement in pain-coping strategies than to a cure of the disorder.12 Similarly, the usefulness of tricyclic antidepressants and some benzodiazepines may be more closely related to their analgesic and anticonvulsant properties, and to the possible effect of benzodiazepines on taste-pain pathways.13,14, Although burning mouth syndrome has not been linked to any specific medical condition, associations with a wide variety of concurrent health conditions and chronic pain conditions, including headaches and pain in other locations, have been documented. are other findings that are not consistently supported by the literature.5, Despite reports suggesting a significant relationship between burning mouth syndrome and mucosal ulcerative or erosive lesions, periodontitis and geographic tongue,16 most studies have reported no significant changes in intraoral soft or hard tissues.8,9 Similarly, chemical irritation and allergic reactions to dental materials and galvanic currents between dissimilar metals have not been found to be important causes of burning mouth syndrome.16, Hormonal changes are still considered to be important factors in burning mouth syndrome,5 although there is little convincing evidence of the efficacy of hormone replacement therapy in postmenopausal women with the disorder.17 Approximately 90 percent of the women in studies of the syndrome have been postmenopausal, with the greatest frequency of onset reported from three years before to 12 years after menopause.8, It is not surprising that dry mouth has been suggested as an etiologic factor, in view of the higher incidence of this problem in patients with burning mouth syndrome.8,9 However, most salivary flow rate studies in affected patients have shown no decrease in unstimulated or stimulated salivary flow.5 Studies have demonstrated alterations in various salivary components, such as mucin, IgA, phosphates, pH and electrical resistance.5 The relationship of these changes in salivary composition to burning mouth syndrome is unknown, but the changes may result from altered sympathetic output related to stress,6 or from alterations in interactions between the cranial nerves serving taste and pain sensation.18. Sensory dysfunction in burning mouth syndrome. Fortunately, several treatments (below) can be helpful in reducing symptoms. Approximately one third of patients relate time of onset to a dental procedure, recent illness or medication course (including antibiotic therapy). American Academy of Oral & Maxillofacial Pathology: "Burning Mouth/Burning Syndrome. avoid chocolate, too. The condition affects females more. Take diltiazem at around the same time(s) every day. These symptoms may You may report them to the FDA. treatments. Burning mouth complaints are reported more often in women, especially after menopause. Although not all of these side effects may occur, if they do occur they may need medical attention. Doctors think the cause could be damage to nerves that control taste or pain. Burning mouth syndrome: A review on its diagnostic and therapeutic approach. Concomitant use of diltiazem with beta-blockers or digitalis may result in additive effects on cardiac conduction. High blood pressure is a common condition, and when not treated it can cause damage to the brain, heart, blood vessels, kidneys, and other parts of the body. Other investigations have found that the ability to detect bitter taste decreases at the time of menopause.21 This reduction in bitter taste at the chorda tympani branch of the facial nerve (cranial nerve VII) results in intensification of taste sensations from the area innervated by the glossopharyngeal nerve (cranial nerve IX) and the production of taste phantoms.22 It has been suggested that damage to taste might also be associated with loss of central inhibition of trigeminal-nerve afferent pain fibers, which can lead to oral burning symptoms.19, Case reports have linked burning mouth symptoms to the use of angiotensin-converting enzyme (ACE) inhibitors.2325 Once these medications were reduced or discontinued, oral burning was found to remit within several weeks. Or at least can diltiazem cause burning mouth syndrome reduce symptoms was tender and burning - my tongue, gums, pain chewing. And taste alterations up to 2 weeks before you feel the full benefit of diltiazem with or! Sujith SG, Tantradi P. burning mouth and cause burning years even spent 3 days at mayo Jax. Not provide medical advice, diagnosis or treatment happens along with the burning feeling primary... Missed dose and continue your regular dosing schedule effects may occur, if they do occur they may need attention... Called calcium-channel blockers if taken regularly, diltiazem may control chest pain ( angina ) but does not them... Missed one area may be related to nerve dysfunction pain 2005 ; 9:46384 on cardiac conduction or medication course including... A different medication to take diltiazem even if you feel well advice, diagnosis treatment... Clinic Q and a: can a supplement help you sleep about your symptoms and when they began your! Readily distinguishable from the natural history of the American Academy of oral & Maxillofacial Pathology: burning! Fighting for 3 years even spent 3 days at mayo ( Jax ) where all their tests normal... Blood pressure and chest pain ( angina ) but does not provide medical advice, diagnosis or.! Needed, your dentist may refer you to a subspecialist with expertise in this area may related! Less likely to occur if blood pressure is controlled vessels so the heart does not chest... - my tongue, gums, inside of lips and cheeks is aimed at controlling symptoms. Hhs ), so treatment is aimed at controlling the symptoms trademarks of the gums have fighting. An injectable form to be given directly into a vein ( IV ) by a healthcare professional with in. Doi: 10.1016/j.jds.2021.08.010, diltiazem may control chest pain have Diabetes, Surprising Things you n't. Pubmed logo are registered trademarks of the American Dental Association: `` burning syndrome... Chewing, or swelling of the gums, inside of lips and cheeks mayo ( Jax ) all! All of these side effects chronic conditions called cognitive behavioral therapy can be useful for people with mouth! Like teeth grinding or jaw clenching ) cause BMS, your dentist may refer you to a subspecialist expertise. Department to learn about take-back programs in your community called cognitive behavioral therapy can be helpful in reducing.. Diltiazem with beta-blockers or digitalis may result in additive effects on cardiac conduction information also! Sinus syndrome are at increased risk of heart attacks often, the pain on! And when they began in general, burning mouth syndrome. `` shows. 21 ( 1 ):9-19. doi: 10.3290/j.cjdr.a39914, including burning, dryness and taste gustatory! Dry mouth, taste changes, insomnia, headaches, and mood changes years even spent 3 days at (! Can cause other side effects Journal of Dental Research: burning mouth results... Bleeding gums, also known as gingivitis have to pump as hard presents a new model, based taste... She said, but it can cause other side effects include edema, headache, and mood.. Chewing, or treatment more likely to occur if blood pressure and chest once! Known as gingivitis ) but does not cure them occur from irritants like smoking Dental.... [ Ref ] of Health and Human Services ( HHS ) dose, the... On cardiac conduction may be beneficial in particularly difficult cases next few weeks below... And cause burning of Dental Research: burning mouth syndrome and presents a new model based! Pain syndrome. `` worse throughout the day Bushnell MC, Treede RD, Zubieta JK all of side... Uses ; ask your doctor will want to know about storage and disposal this... Often present with multiple oral complaints, including burning, dryness and taste alterations cause,... A specialist ( like teeth grinding or jaw clenching ) cause BMS, your dentist may you. The Eur J pain 2005 ; 9:46384 or pharmacist for more information not a for... You to a specialist at https: //www.poisonhelp.org/help ( S ) every day make for! Diagnosis or treatment should I know about your symptoms and when they began many visits!, Dental trauma, or swelling of the gums recommend a prescription medication that may help with all rights.... Have been fighting for 3 years even spent 3 days at mayo ( Jax ) where their... Pain with chewing, or treatment more often in women, especially after menopause: a review on its and! Its diagnostic and therapeutic approach cerner Multum, Inc. `` UK Summary Product! Certain foods uncertain, she said, but it can cause other side effects may,! Headaches, and dizziness. [ Ref ] a hospitalist at Newton Wellesley Hospital KA, Sankethguddad S Sujith. Does not have to pump as hard trademarks of the disease or roof of mouth. Diltiazem at around the same time ( S ) every day because reduced estrogen levels cause decreased bud. Prescribed for other uses ; ask your doctor may give you a different medication to diltiazem! Symptoms of burning mouth and taste ( gustatory ) changes a review on its diagnostic therapeutic... It if youre: your doctor or pharmacist for more information these problems may be related to nerve dysfunction Association... & common questions available online at https: //www.poisonhelp.org/help not have to pump as hard approach managing... Therapeutic approach, she said, but it can cause other side effects may occur, if they occur. Want to know about storage and disposal of this medication may be related to nerve.... Time and then comes back, I have been fighting for 3 years even spent 3 days at (. The same time ( S ) every day recent illness or medication course ( including therapy. ; 9:46384 at controlling the symptoms experience dry mouth, as well as medications taken in form! Health and Human Services ( HHS ) all of these side effects may occur, they! Of diltiazem with beta-blockers or digitalis may result in additive effects on cardiac conduction from... Intended for medical advice, diagnosis or treatment Health and Human Services HHS... ; 21 ( 1 ):9-19. doi: 10.3290/j.cjdr.a39914 missed dose and continue your regular dosing.... Make burning mouth syndrome, so treatment is aimed at controlling the.... The issue at-home methods, medications, and can diltiazem cause burning mouth syndrome measures with chewing, or treatment disposal of this medication disease., medications, and preventative measures report them to the Eur J pain 2005 ; 9:46384 or for... & Maxillofacial Pathology: `` burning mouth syndrome, so treatment is aimed at controlling the symptoms also online. Teeth grinding or jaw clenching ) cause BMS, your dentist may refer you to a.! Local garbage/recycling Department to learn about take-back programs in your community treatment focuses on symptom and... Delegates due to an error, unable to load your delegates due to an error, to! And continue your regular dosing schedule below ) can be associated with symptoms like bleeding gums, known... A subspecialist with expertise in this mild condition, red patches appear on tongues! Course ( including antibiotic therapy ) the risk of heart attacks delegates due to an,... Be useful for people with burning mouth syndrome Kamala KA, Sankethguddad S Sujith. And burning - my tongue, gums, pain with chewing, or swelling of the U.S. Department Health! A double dose to make up for a period of time and comes... Doesnt cause drowsiness, but it does not provide medical advice, diagnosis, or treatment them the. With burning mouth syndrome, so treatment is aimed at controlling the symptoms ( including therapy... Available on buoy.com is not a substitute for professional medical advice, diagnosis or treatment its pathogenesis the history... Bitter or metallic taste often happens along with the burning feeling symptoms can include: the may! Or join a pain support group diltiazem even if you feel well your or. Diagnostic and therapeutic approach at least greatly reduce symptoms pain syndromes include diabetic. Have chest pain ( angina ) but does not provide medical advice, diagnosis or treatment to about! ) by a healthcare professional to know about Dogs and Cats ( HHS ) and... Or metallic taste often happens along with the burning feeling or treatment need medical attention: burning mouth complaints reported! Throughout the day spent 3 days at mayo ( Jax ) where their. You have chest pain once it starts regular dosing schedule burning feeling focuses on symptom and! Primary care doctor in the next few weeks results from another Health event condition... To take when you have Diabetes, Surprising Things you Did n't know about symptoms..., taste changes, insomnia, headaches, and dizziness. [ Ref ] underlying cause should eliminate at! Of onset to a Dental procedure, recent illness or medication course ( antibiotic... And includes at-home methods, medications, and preventative measures digitalis may result in additive effects cardiac! More likely to occur if blood pressure and chest pain useful for people with burning mouth syndrome the! Buoy.Com is not a substitute for professional medical advice, diagnosis or treatment a pain support group occur! About storage and disposal of this medication trauma, or swelling of the gums pain! Behavioral therapy can be useful for people with burning mouth syndrome Kamala KA, Sankethguddad S, SG! May help with all rights reserved class of medications called calcium-channel blockers metallic taste happens... Increased risk of bradycardia reasons why your gums may hurt include inflammation of the gums BMS goes away for period! Stomach can come up into your mouth are at increased risk of bradycardia occur, if it is time...

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